Payment Application Specialist

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Work collaboratively with the Athena team to identify, investigate, and rectify duplicate or misrouted payment items through CRM.

• Aid in balancing and reviewing accounts from third-party collection vendors to ensure financial reconciliation and reporting accuracy.

• Engage with payers via phone and other communication channels to research and secure missing or omitted payment-posting information.

• Facilitate the transition of One Time Use credit card payers to EFT/ACH payment methods using the BSG ticket process.

• Review, upload, and post paper remittances along with Electronic Remittance Advice (ERA) files from payer web portals into Athena.

• Monitor, document, and escalate emerging trends, persistent issues, and unusual challenges related to payment posting.

• Apply incoming unpostable records and correspondence to the appropriate patient accounts and claims.

• Undertake additional departmental responsibilities as assigned.

• Achieve or surpass production and quality targets established by management.

⛳️ Requirements

• High School Diploma or equivalent is required.

• Additional education or certifications in finance, accounting, or healthcare administration are preferred.

• Experience with Health Insurance Websites/Portals is mandatory.

• Proven experience with Financial Records to resolve missing payments is essential.

• Proficient in reviewing Explanation of Benefits and Posting is required.

• Experience in communicating with payers to research and obtain missing or omitted information is necessary.

• Prior experience in payment processing, revenue cycle management, or related financial operations is preferred.

• Proficient with Windows-based PC hardware and software, particularly spreadsheet applications for data analysis and reporting.

• Strong problem-solving skills to independently identify, research, and resolve complex discrepancies.

• Excellent interpersonal and communication skills.

• Commitment to maintaining the confidentiality of sensitive patient and financial information.

• Ability to prioritize and manage multiple tasks in a fast-paced environment.

• Willingness to work overtime during peak periods or on special projects.

• Exceptional attention to detail.

• Ability to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds.

• Close visual acuity for detailed work.

🏝️ Benefits

• Medical, dental, and vision insurance options.

• Health savings accounts (HSA) and flexible spending accounts (FSA).

• 401(k) employee and employer contributions.

• Paid time off, including vacation, sick leave, and company holidays.

• Paid parental leave & family support benefits.

• Short-term and long-term disability insurance.

• Life and accidental death & dismemberment (AD&D) insurance.

• Employee assistance programs & wellness resources.

• Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.

• Competitive benefits and unlimited paths for advancement.

• Culture of robust support.